Responsibilities includes but not limited to, data identification, data acquisition, data analysis, data documentation, data storage and data integration. The individual in the position will provide professional skills necessary for all phases of Software Development Life Cycle in relationship to methods for conducting data analysis. They will insure the integrity of all data extraction, storage, manipulation and analysis.
MAJOR DUTIES AND RESPONSIBILITIES:
Obtain a list of statutes, regulations, administrative codes or case law for a specific jurisdiction related in PIP/No-Fault coverage
Perform analysis of software application data sets
Maintain database library to source all data, rules, flags and edits
Perform analysis and translate business needs to create high-quality business requirements and functional specifications
Develop and execute methodologies used to extract, manipulate and analyze data from multiple databases for customer and/or product specific business needs
Conduct pro-active research projects in an effort to provide supporting documentation, content for rules creation and to manage incoming rule, format and troubleshooting requests from across the organization
Maintain data inventory database with data acquisition and transfer information from development to Quality Assurance
Develop and maintain utilization review Edits, Rules and Flags
Concentra's Data Protection Commitment
- Concentra is committed to protect patient data and to ensure privacy of personal and medical information.
- Every Concentra colleague has the responsibility to adhere to data protection principles.
- If a colleague's role includes handling or processing sensitive data, role-specific policies and requirements apply to ensure the protection of patient information.
Degree or certification in Related Field preferred or equivalent experience
2-3 years experience in claims processing industry, as well as analyst role with the ability to understand and apply software development life cycle methodologies
Strong knowledge in writing SQL queries, Excel and MS Access
Possess good communication and documentation skills through clearly written, concise and comprehensive documentation
Exhibit strong analytical and creative problem solving skills
Ability to assume responsibility for data analysis and research methodology as it relates to the PIP/No-Fault industry
Ability to work collaboratively with software engineers to develop variables and analytic approach
Must be able to perform requested tasks with minimal direction
WORKING CONDITIONS/PHYSICAL DEMANDS:
This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management.
Concentra Managed Care, Inc. is the leading provider of healthcare management and cost containment services to the workers' compensation,...